1.Broken heart Syndrome is a temporary heart condition known as Takotsubo cardiomyopathy, as it was first described in Japan in 1990. This condition of the heart weakens the left ventricular muscles, making blood pumping difficult. The condition is associated with a severe emotional episode, extreme physical stress, loss of a loved one, sudden illness, or a serious accident.
2.Broken heart syndrome symptoms may mimic the classic symptoms of a heart attack like pain in the chest, severe pressure or heaviness in the chest, shortness of breath, fatigue and cold sweats. Pathologically, there is no actual blockage in the coronary arteries. Research shows that extreme emotional, and traumatic stress, the rise of catecholamines and stress hormones like adrenaline causes the heart muscles or the coronary arteries to stun the heart temporarily, preventing the left ventricle from pumping blood effectively.
3. Studies show about 90% of the cases are women and many of them recover without any long-term damage. The exact cause is still not known. But the common causes which are found to be:
• Sudden loss of a loved one.
• Severe physical pain.
• Sudden illness.
• Domestic violence.
• Serious accident.
• Huge financial loss.
• Intense fear.
4. Though physical symptoms and ECG changes like ST segment elevation can misdiagnose a heart attack, other imaging studies are required to rule out a heart attack. The most common diagnosis of Broken heart syndrome is no evidence of blockages in coronary arteries which on the other hand, is a classical sign of a heart attack. In the echocardiogram, there is a bulging of the lower part of the left ventricle seen in Broken heart syndrome, which resembles a tako-tsubo (a Japanese octopus trap pot), hence the name is derived. This is quite a confirmatory sign of Broken heart syndrome or Takotsubo cardiomyopathy.
5. To sum up the differences between Broken heart syndrome and heart attack are:
• The angiogram shows no signs of blockage of coronary arteries.
• Blood work, especially enzyme levels shows no sign of heart damage.
• An echocardiogram shows abnormal bulging or ballooning of the lower part of the left venticle so, also known as Balloning heart syndrome.
• Recovery is faster within days to a couple of weeks.
6. Broken heart syndrome is not usually fatal, and under treatment and observation, the individual recovers within weeks to a month. The prognosis is good and there is also less risk of such episodes in future. But in rare cases, it may become fatal causing severe short-term heart muscle failure. Research continues to learn more about the diagnosis and treatment of cases of Broken heart syndrome.
7. There is no standard treatment for Broken heart syndrome and is mainly individual-specific. Medication is required to reduce the stress on the heart muscles. Medications like Angiotensin-converting enzyme inhibitors (ACE), Beta-blockers, diuretics, and blood thinners are used to heal the heart muscles and prevent further episodes. Complete recovery is likely within a month or so.In addition to this, management of stress is also required to prevent such episodes in future.Regular follow-ups are required for the individual.
8. Broken heart syndrome or Takotsubo syndrome has been researched to have certain general pre-disposing risk factors like smoking, hypertension, obesity, diabetes, pulmonary diseases, malignancies, neurological diseases and psychological disorders. Evidence also shows higher prevalences in females compared to males. Although routine checkups, ECG, blood work and echocardiograms are necessary at regular intervals, it is important to work on stress factors like meditation, yoga, deep breathing and mindfulness techniques.
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